Metastasis in the parotid gland from a renal clear cell carcinoma: a clinical- pathological study

Primary and secondary malignant tumors have the potential to develop in the parotid gland, as documented in the literature. However, the majority of metastatic cases originate from head and neck neoplasms, with squamous cell carcinoma of the skin being the most common. On the other hand, clear cell...

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Autores principales: Fonseca Acosta, Ismael Bernardo, Ferraris, Luis Ángel, Menso, Nicolás, Samar Romani, María Elena, Ávila Uliarte, Rodolfo Esteban
Formato: Artículo revista
Lenguaje:Español
Publicado: Facultad de Odontología de la Universidad Nacional del Nordeste (FOUNNE) 2024
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Acceso en línea:https://revistas.unne.edu.ar/index.php/rfo/article/view/8050
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record_format ojs
institution Universidad Nacional del Nordeste
institution_str I-48
repository_str R-154
container_title_str Revistas UNNE - Universidad Nacional del Noroeste (UNNE)
language Español
format Artículo revista
topic cell renal carcinoma
metastasis
parotid gland
CD10
Carcinoma de Células Renales
metástasis
glándula parótida
CD10
carcinoma de células renales
metástase
glândula parótida
CD10
spellingShingle cell renal carcinoma
metastasis
parotid gland
CD10
Carcinoma de Células Renales
metástasis
glándula parótida
CD10
carcinoma de células renales
metástase
glândula parótida
CD10
Fonseca Acosta, Ismael Bernardo
Ferraris, Luis Ángel
Menso, Nicolás
Samar Romani, María Elena
Ávila Uliarte, Rodolfo Esteban
Metastasis in the parotid gland from a renal clear cell carcinoma: a clinical- pathological study
topic_facet cell renal carcinoma
metastasis
parotid gland
CD10
Carcinoma de Células Renales
metástasis
glándula parótida
CD10
carcinoma de células renales
metástase
glândula parótida
CD10
author Fonseca Acosta, Ismael Bernardo
Ferraris, Luis Ángel
Menso, Nicolás
Samar Romani, María Elena
Ávila Uliarte, Rodolfo Esteban
author_facet Fonseca Acosta, Ismael Bernardo
Ferraris, Luis Ángel
Menso, Nicolás
Samar Romani, María Elena
Ávila Uliarte, Rodolfo Esteban
author_sort Fonseca Acosta, Ismael Bernardo
title Metastasis in the parotid gland from a renal clear cell carcinoma: a clinical- pathological study
title_short Metastasis in the parotid gland from a renal clear cell carcinoma: a clinical- pathological study
title_full Metastasis in the parotid gland from a renal clear cell carcinoma: a clinical- pathological study
title_fullStr Metastasis in the parotid gland from a renal clear cell carcinoma: a clinical- pathological study
title_full_unstemmed Metastasis in the parotid gland from a renal clear cell carcinoma: a clinical- pathological study
title_sort metastasis in the parotid gland from a renal clear cell carcinoma: a clinical- pathological study
description Primary and secondary malignant tumors have the potential to develop in the parotid gland, as documented in the literature. However, the majority of metastatic cases originate from head and neck neoplasms, with squamous cell carcinoma of the skin being the most common. On the other hand, clear cell renal carcinoma represents 70-80% of kidney cancers, producing regional and distant metastases through the renal vein. Metastases from this type of renal cancer to the head and neck region have been diagnosed in 14-16% of patients, though metastases to the parotid gland are extremely rare. This study presents the case of a female patient who developed a late parotid metastatic tumor following left unilateral nephrectomy for clear cell carcinoma, with itsrenal origin confirmed through positive CD10 marker expression. Renal cell carcinoma exhibits a high metastatic potential. At the time of diagnosis, 25-30% of patients present distant disease (synchronous metastases), especially involving the lungs, bones, liver, adrenal glands, contralateral kidney, and brain. However, renal cell carcinoma is also characterized by the ability to produce late metastases (metachronous metastases), which can appear even decades after initial diagnosis. In this case, the patient’s renal carcinoma, initially diagnosed in 2014, resulted in a parotid metastasis in 2023, nearly a decade later.
publisher Facultad de Odontología de la Universidad Nacional del Nordeste (FOUNNE)
publishDate 2024
url https://revistas.unne.edu.ar/index.php/rfo/article/view/8050
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last_indexed 2025-05-17T05:11:44Z
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spelling I48-R154-article-80502024-12-30T17:48:11Z Metastasis in the parotid gland from a renal clear cell carcinoma: a clinical- pathological study Metástasis en glándula parótida de un carcinoma renal de células claras: estudio clínico-patológico Metástase na glândula parótida de carcinoma renal de células clara: estudo clínico-patológico Fonseca Acosta, Ismael Bernardo Ferraris, Luis Ángel Menso, Nicolás Samar Romani, María Elena Ávila Uliarte, Rodolfo Esteban cell renal carcinoma metastasis parotid gland CD10 Carcinoma de Células Renales metástasis glándula parótida CD10 carcinoma de células renales metástase glândula parótida CD10 Primary and secondary malignant tumors have the potential to develop in the parotid gland, as documented in the literature. However, the majority of metastatic cases originate from head and neck neoplasms, with squamous cell carcinoma of the skin being the most common. On the other hand, clear cell renal carcinoma represents 70-80% of kidney cancers, producing regional and distant metastases through the renal vein. Metastases from this type of renal cancer to the head and neck region have been diagnosed in 14-16% of patients, though metastases to the parotid gland are extremely rare. This study presents the case of a female patient who developed a late parotid metastatic tumor following left unilateral nephrectomy for clear cell carcinoma, with itsrenal origin confirmed through positive CD10 marker expression. Renal cell carcinoma exhibits a high metastatic potential. At the time of diagnosis, 25-30% of patients present distant disease (synchronous metastases), especially involving the lungs, bones, liver, adrenal glands, contralateral kidney, and brain. However, renal cell carcinoma is also characterized by the ability to produce late metastases (metachronous metastases), which can appear even decades after initial diagnosis. In this case, the patient’s renal carcinoma, initially diagnosed in 2014, resulted in a parotid metastasis in 2023, nearly a decade later. Si bien tanto tumores malignos primarios como secundarios pueden desarrollarse en la glándula parótida como se informa en la literatura, en la mayoría de los casos las metástasis corresponden a neoplasias de cabeza y cuello, más frecuentemente de un carcinoma cutáneo de células escamosas. Por otra parte, el carcinoma renal de células claras e representa el 70 a 80% del cáncer de riñón, produciendo metástasis regionales y a distancia a través de la vena renal. Metástasis de este tipo de cáncer renal en cabeza y cuello se han diagnosticado en un 14 a 16% de pacientes, siendo muy infrecuente en la glándula parótida. En este trabajo presentamos el caso de una paciente que desarrolló un tumor metastásico tardío de parótida, después de una nefrectomía unilateral izquierda por un carcinoma de células claras y determinamos su origen renal con la expresión positiva del marcador CD10. El carcinoma de células renales posee una alta capacidad metastásica. Al momento del diagnóstico un 25-30% de los pacientes presenta enfermedad a distancia (metástasis sincrónicas), en especial pulmón, hueso, hígado, glándula suprarrenal, riñón contralateral y cerebral. No obstante, el carcinoma de células renales tiene la particularidad de producir metástasis de forma tardía (metástasis metacrónicas), superando en algunos casos los 30 años como en nuestra paciente, con un cáncer renal diagnosticado el año 2014 que produjo metástasis parotídea en 2023. Embora tanto tumores malignos primários quanto secundários possam se desenvolver na glândula parótida, conforme relatado na literatura, na maioria dos casos as metástases estão relacionadas a neoplasias de cabeça e pescoço, mais frequentemente a um carcinoma espinocelular cutâneo de células escamosas. Por outro lado, o carcinoma de células claras do rim representa de 70 a80% dos casos de câncer renal, e à distância por meio da veia renal. Metástases desse tipo de câncer renal em cabeça e pescoço foram diagnosticadas em 14 a 16% dos pacientes, sendo muito raras na glândula parótida. Neste trabalho apresentamos o caso de um paciente que desenvolveu tumor metastático tardio de parótida após nefrectomia unilateral esquerda devido a carcinoma decélulas claras e determinamos sua origem renal pela expressão positiva do marcador CD10. O carcinoma de células renais tem alta capacidade metastática. No momento do diagnóstico, entre 25-30% dos pacientes apresentam doença à distância (metástases síncronas), especialmente no pulmão, ossos, fígado, glândula adrenal, rim contralateral e cérebro. No entanto, o carcinomade células renais tem a particularidade de produzir metástases de forma tardia (metástases metacrônicas), em alguns casos superiores a 30 anos como no nosso paciente, com câncer renal diagnosticado em 2014 que gerou metástases na parótida em 2023. Facultad de Odontología de la Universidad Nacional del Nordeste (FOUNNE) 2024-12-30 info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion application/pdf https://revistas.unne.edu.ar/index.php/rfo/article/view/8050 10.30972/rfo.1728050 Revista de la Facultad de Odontología; Vol. 17 Núm. 2 (2024); 22-27 2683-7986 1668-7280 spa https://revistas.unne.edu.ar/index.php/rfo/article/view/8050/7555 https://creativecommons.org/licenses/by-nc/4.0